Individual
BROOK A DEJENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1944 ROUTE 33, MID-ATLANTIC SURGICAL ASSOCIATES - SUITE 201, NEPTUNE, NJ 07753-4862
(732) 776-4622
(732) 776-3765
Mailing address
100 MADISON AVE, MID-ATLANTIC SURGICAL ASSOCIATES, MORRISTOWN, NJ 07960-6136
(973) 971-7300
(973) 984-7019
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
57722
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6410600
—
NY
Enumeration date
08/09/2005
Last updated
11/16/2011
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